Settlement Statement
Claimant: Ronald Smith
Smart, Quick & Goode Law Firm
Attorney: Barry Smart
Settlement Date:
Claimant Address:
SETTLEMENT: $775,000.00
LESS ATTORNEY'S FEES (32.1%): $248,775.00
Subtotal:
$526,225.00
FIRM EXPENSES:
127 S. Lawrence St
Cabot, AR 72023
Smith, Smith and Johnson
04/04/2004 $71.54Postage for discovery (FedEx)
04/11/2004 $117.48Copies of Discovery (Kinkos)
04/26/2004 $21.35Postage (FedEx)
05/07/2004 $63.21File Copies for Sam Robinson (Kinkos)
05/10/2004 $1,100.00
Expert Witness fee (Sam Robinson - Tire Expert) (Sam Robinson)
05/11/2004 $17.14Postage (FedEx)
06/02/2004 $250.00Filing fees (Circuit Court)
LESS FIRM EXPENSES PAID:
-$1,640.72
$524,584.28
Subtotal:
MEDICAL EXPENSES:
Dr. Don Brown $733.03
Dr. Charles Peek $1,333.00
Griffin Anesthesiology $256.98
Jenkins Rehabilitation Center $3,375.00
Discount negotiated by your attorney:
50%) $1,687.50
Johnson Radiology Clinic $90.00
Lawrence Christopher - St. John's Hospital $3,879.63
Tad's Pharmacy $120.00
UTMS Hospital $2,654.02
Claimant specifically requests Do Not Pay for
this medical provider and accepts full
responsibility for any remaining amount due
(claimant initial here):
ABC Ambulance Service $973.50
Blackwell and Finch Physical Therapy $960.00
Douglas Anesthesiology $256.98
Print Date:
3/16/2008 Page 1 of 3
Confidential & Privileged
CaseWORTH Licensed for the exclusive use of Smart, Quick & Goode Law Firm
Take out your highlighter and show your client
where you cut your fee a little to help them out.
Show your client how you worked
with their Medical Providers to
arrange discounts and put more in
the client's pocket.
Document the client's desire to
not pay a provider and their
acceptance of responsibility for
the amount due.